Zusammenfassung der Ressource
Ectopic Pregnancy
- the abnormal implantation of the fertilized ovum outside of the
uterine cavity. The implantation is usually in the fallopian tube,
which can result in a tubal rupture causing a fatal hemorrhage.
- Risk factors
- Previous ectopic pregnancy
- Inflammation or infection.
- Fertility issues
- Structural concerns
- Contraceptive choice
- Diagnostic and Therapeutic Procedures
- Rapid surgical treatment
- Linear salpingostomy
- Laparoscopic salpingostomy
- Methotrexate
- Hormone levels of progesterone and hCG
- WBC count
- Transvaginal ultrasound
- Nursing Considerations
- Nursing assessment
- Monitor for signs and symptoms
- Scant, dark red, or brown vaginal spotting
- Unilateral stabbing pain
- One or two missed menses.
- Referred shoulder pain
- Nausea and vomiting
- Symptoms of hemorrhage and shock
- hypotension
- tachycardia
- pallor
- Nursing Interventions
- Prepare the client for surgery and
postoperative nursing care.
- Provide client education and
psychological support.
- Replacement of fluid loss and
maintenance of electrolyte balance.